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Health Services Research Opportunities for an Expanding Field of Inquiry - An Interim Statement (1994) / Chapter Skim
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CHALLENGES FOR HEALTH SERVICES RESEARCH IN THE FUTURE
Pages 4-11

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From page 4...
... health care system create new demands for health services research. The committee notes that difficulties already exist in recruiting well-prepared health services researchers to work on the many health care questions faced by consumers, health care providers, purchasers, employers, health administrators, local and state governments, and the federal government.
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From page 5...
... Although the committee's listing is quite selective, it includes areas that illustrate the philosophical, academic, and applied elements of health services research. Organization and Financing of Care As the nation has debated health care reform during the past 2 years, the public has become increasingly aware of the issues of health care organization and finance that health services researchers have long addressed.
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From page 6...
... Researchers along with policymakers, providers, and consumers must find ways to explore the role of public health services in the context of health care reform. They also will need to continue to supply data, analysis, and insights about the costs and coverage of health reform proposals.
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From page 7...
... Much ongoing work relates to identifying and measuring the outcomes of health care services. Examples include evaluating oral health outcomes in countries using various systems of care delivery and approaches to prevention; investigating whether behavioral risk factors can be modified by individual or community interventions and, if they can, when the best time to act is; determining whether treatment for foot ulcers in people with diabetes varies according to the type of doctor seen; and studying the effectiveness of home-based intervention for people caring for a family member with dementia, of an occupationaltherapy home intervention for improving quality of life and adaptation to disability, and of point-of-care testing for myocardial infarction.
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From page 8...
... As more health services are provided in different types of settings, health services research can monitor the quality, cost, and access to care and determine who are appropriate providers of cost-effective health care. Policymakers and managers may ask, for instance, whether dental hygienists, nurses, occupational therapists, physical therapists, physician assistants, and other health professionals can provide effective services safely and efficiently.
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From page 9...
... Informatics and Clinical Decisionmaking Health services research will contribute to the development of medical informatics and the use of electronic communications media in the health field. As provider and accrediting organizations continue to make large investments in medical information systems, technical advances will provide health services researchers and managers access to new information sets; these, in turn, offer opportunities to develop new demonstration models and environments and to devise practical and ethical ways to integrate data from long-term-care, inpatient, ambulatory, and other settings for analyses of quality, cost, and access.
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From page 10...
... Fruitful areas of research include defining determinants of health for individuals and populations, measuring behavioral risk factors, and elucidating ethnic and cultural differences that affect the health of populations. As health services researchers look increasingly at populations, as contrasted to individuals presenting for health care services, investigators can define these populations in many different ways.
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From page 11...
... By investigating the financial implications of behavior and, conversely, the behavioral implications of different financial circumstances among consumers, providers, and payers, health services researchers can learn how financial incentives and organizational structures influence performance and behavior at all levels. While pursuing the supply side of health care (whether measuring its product as health status or as units of service)
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Key Terms

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  • behavioral implications

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  • researchers beyond
  • ongoing work
  • provide health
  • health education

  • count units
  • assess quality
  • influence performance
  • care environment
  • appropriate preventive

  • managers access
  • complex topics
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  • subsidized health
  • consumers choose


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